Week 6 Final Exam: NR546 NR-546

Week 6 Final Exam: NR546 / NR-546

(Latest Update 2025 / 2026) Advanced Pharmacology Psychopharmacology for the Psychiatric-Mental Health Nurse Practitioner | Review Questions and Answers | 100% Correct | Grade A - Chamberlain

Question:

acamprosate (Campral)

Answer:

· Modulates glutamine transmission, and resembles gamma-aminobutyric acid (GABA) · Good option for clients who must take opioids for chronic pain · Treats withdrawal symptoms · Abstain prior to beginning treatment No affect on Opioids

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Question:

Naltrexone (Revia, Vivitrol)

Answer:

indications:

• Alcohol dependence
• Blockade of effects of exogenously administered opioids (Revia)
• Prevention of relapse to opioid dependence (injection)
• Initial treatment for alcohol use disorder
• Can be started while still drinking
• Can treat concurrent opioid use disorder
• Contraindicated in liver disease
• May be given in monthly long-acting injections (Vivitrol)
• Can begin working within a few days but maximum effects may not be seen

for a few weeks

Prior Tests:

- For opioid use:

• Urine screen for opioids and/or naloxone challenge test prior to initiating

treatment (opioid-free for 7-10 days)

- For alcohol dependence:

• No specific tests required, though baseline liver function testing is usually

obtained for managing alcohol dependence

Side Effects: 2 / 4

- Common:

• Nausea/Vomiting (N/V)
• Decreased appetite
• Dizziness
• Anxiety
• Injection site reactions

- Life-threatening:

• Eosinophilic pneumonia
• Hepatocellular injury

Question:

Disulfiram (Antabuse)

Answer:

-Blocks oxidation of alcohol -Creates unpleasant symptoms when the client drinks while taking medication -Palpitations -Headache -Nausea/vomiting -Flushing ·-Abstain from alcohol for at least 12 hours prior to treatment to avoid a reaction -a disulfiram reaction can occur for up to 14 days after alcohol is consumed

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Question:

Topiramte (Topamax)

Answer:

-An anticonvulsant that blocks sodium channels and enhances GABA-A - Reduces cravings for alcohol

Question:

Librium (chlordiazepoxide)

Answer:

treatment of alcohol withdrawals don't take alcohol with this very bad nausea and vomiting can occur avoid in older adult's

Question:

CIWA

Answer:

Purpose:

• A highly regarded standardized instrument used to assess the severity of

alcohol withdrawal symptoms.

• Directs pharmacotherapy for individuals with moderate to severe symptoms.
• Benzodiazepines on a symptom-triggered regimen are the preferred

approach.

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